K213487 · Siemens Medical Solutions USA, Inc. · IYN · Feb 11, 2022 · Radiology
Device Facts
Record ID
K213487
Device Name
ACUSON P500 Ultrasound System
Applicant
Siemens Medical Solutions USA, Inc.
Product Code
IYN · Radiology
Decision Date
Feb 11, 2022
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 892.1550
Device Class
Class 2
Attributes
Pediatric
Indications for Use
The ACUSON P500 ultrasound imaging system is intended to provide images of, or signals from, inside the body by an appropriately trained healthcare professional in a clinical setting for the following applications: Fetal, Abdominal (including liver), Pediatric, Small Parts, Transcranial, Transesophageal, OB/GYN(useful for visualization of ovaries, follicles, uterus and other pelvic structures), Lung, Pelvic, Neonatal Cephalic, Cardiac, Intra Cardiac, Vascular(including Peripheral Vessel), Musculoskeletal, Superficial Musculoskeletal and Urology applications. The system also provides the ability to measure anatomical structures and calculation packages that provide information to the clinician that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes. The Arterial Health Package (AHP) software provides the physician with the capability to measure Intima Media Thickness and the option to reference normative tables that have been validated in peer-reviewed studies. The information is intended to provide the physician with an easily understood tool for communicating with patients regarding state of their cardiovascular system. Note: This feature should be utilized according to the "ASE Consensus Statement; Use of Carotid Ultrasound to Identify Subclinical Vascular Disease and Evaluate Cardiovascular Disease Risk: A Consensus Statement from the American Society of Echocardiography Carotid Intima-Media Thickness Task Force. Endorsed by the Society for Vascular imaging."
Device Story
Mobile, software-controlled diagnostic ultrasound system; transmits/receives ultrasound echo data; displays B-Mode, M-Mode, Pulsed/Continuous Wave Doppler, Color Doppler, and Harmonic Imaging. Used in clinical settings by trained healthcare professionals. Provides anatomical measurements and calculation packages (e.g., Arterial Health Package for Intima Media Thickness) to assist physicians in clinical diagnosis. Includes features like Velocity Vector Imaging (VVI), Anatomical M-Mode (AMM), and eSieLink. Output displayed on-screen for clinician review; aids in visualizing internal structures and assessing cardiovascular health. Benefits include non-invasive diagnostic imaging and quantitative assessment of patient anatomy.
Clinical Evidence
No clinical data. Substantial equivalence supported by bench testing, including acoustic output, biocompatibility, cleaning/disinfection effectiveness, and thermal/electromagnetic/mechanical safety testing per IEC/ISO standards.
Technological Characteristics
Mobile ultrasound system; digital architecture; 1.0MHz-18MHz frequency range. Patient contact materials tested to ISO 10993-1. Connectivity includes DICOM SR. Software features: VVI, AMM, eSieLink, Arterial Health Package. Safety standards: IEC 62359, AAMI ES60601-1, IEC 60601-1-2, IEC 60601-2-18, IEC 60601-2-37.
Indications for Use
Indicated for fetal, abdominal, pediatric, small parts, transcranial, transesophageal, OB/GYN, lung, pelvic, neonatal cephalic, cardiac, intracardiac, vascular, musculoskeletal, and urology imaging. Used by trained healthcare professionals for diagnostic ultrasound imaging and measurements.
Regulatory Classification
Identification
An ultrasonic pulsed doppler imaging system is a device that combines the features of continuous wave doppler-effect technology with pulsed-echo effect technology and is intended to determine stationary body tissue characteristics, such as depth or location of tissue interfaces or dynamic tissue characteristics such as velocity of blood or tissue motion. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.
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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.
Siemens Medical Solutions USA, Inc. % Sulgue Choi Regulatory Affairs 22010 S.E. 51st Street ISSAQUAH WA 98029
### Re: K213487
Trade/Device Name: ACUSON P500 Ultrasound System Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic Pulsed Doppler Imaging System Regulatory Class: Class II Product Code: IYN, IYO, ITX, OBJ, OIJ Dated: January 18, 2022 Received: January 24, 2022
February 11, 2022
### Dear Sulgue Choi:
We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmp/pmn.cfm identifies combination product submissions. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.
Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see
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https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.
For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
Jessica Lamb Assistant Director Division of Radiological Health OHT7: Office of In Vitro Diagnostics and Radiological Health Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
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## Indications for Use
510(k) Number (if known) K213487
Device Name ACUSON P500 Ultrasound System
#### Indications for Use (Describe)
The ACUSON P500 ultrasound imaging system is intended to provide images of, or signals from, inside the body by an appropriately trained healthcare professional in a clinical setting for the following applications: Fetal, Abdominal (including liver), Pediatric, Small Parts, Transcranial, Transesophageal, OB/GYN(useful for visualization of ovaries, follicles, uterus and other pelvic structures), Lung, Pelvic, Neonatal Cephalic, Cardiac, Vascular(including Peripheral Vessel), Musculoskeletal, Superficial Musculoskeletal and Urology applications.
The system also provides the ability to measure and calculation packages that provide information to the clinician that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes.
The Arterial Health Package (AHP) software provides the physician with the capability to measure Intima Media Thickness and the option to reference normative tables that have been validated in peer-reviewed studies. The information is intended to provide the physician with an easily understood tool for communicating with patients regarding state of their cardiovascular system.
Note: This feature should be utilized according to the "ASE Consensus Statement; Use of Carotid Ultrasound to Identify Subclinical Vascular Disease and Evaluate Cardiovascular Disease Risk: A Consensus Statement from the American Society of Echocardiography Carotid Intima-Media Thickness Task Force. Endorsed by the Society for Vascular imaging."
Operating Mode 2D-Mode 2D-Mode with Harmonics Imaging Color flow Doppler Color (Velocity) Power (Energy) Doppler Tissue Imaging Pulsed Wave Doppler Pulsed Wave Doppler Tissue Imaging High Pulsed Repetition Frequency Pulsed Wave Doppler Continuous Wave Doppler Steerable Continuous Wave Doppler for imaging transducers Auxiliary Continuous Wave Doppler for pencil transducers M-Mode M-Mode with Harmonics Imaging Anatomical M-Mode Combined Modes 2D-Mode with Color 2D-Mode with Power 2D/Doppler 2D/Doppler with Color 2D/Doppler with power 2D/M-mode 2D/M-mode with Color 2D/Anatomical M-mode
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Type of Use (Select one or both, as applicable)
X Prescription Use (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (21 CFR 801 Subpart C)
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K213487
## 510(k) Summary
| Date: | February 8, 2022 | | |
|------------------------------|----------------------------------------------------------------------------------------------------------------------------|----------------------------|-----------------|
| 1. Sponsor: | Siemens Medical Solutions USA, Inc.<br>Ultrasound Division<br>22010 South East 51st Street<br>Issaquah, Washington 98029 | | |
| Contact Person: | Sulgue Choi<br>Tel: (425) 281-9898 | | |
| Secondary Contact<br>Person: | SeongMin Han<br>Tel: +82 10 4697 8360<br>E-mail: seongmin.han@siemens-healthineers.com | | |
| 2. Device Name: | ACUSON P500 Ultrasound System | | |
| Common Name: | Ultrasound System with Accessories | | |
| Classification: | Regulatory Class:<br>Review Category:<br>Classification Panel: | II<br>Tier II<br>Radiology | |
| | Ultrasonic Pulsed Doppler Imaging System | 892.1550 | 90-IYN |
| | Ultrasonic Pulsed Echo Imaging System | 892.1560 | 90-IYO |
| | Diagnostic Ultrasound Transducer | | 892.1570 90-ITX |
| | Diagnostic Intravascular Catheter | | 870.1200 90-OBJ |
| | Biopsy Needle Guide Kit | | 892.1560 90-OIJ |
| Manufacturing Site: | Siemens Healthineers, Ltd.<br>2nd ~ 3rd Floor, 143, Sunhwan-ro, Jungwon-gu, Seongnam-si,<br>Gyeonggi-do, Republic of Korea | | |
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#### 3. Legally Marketed Predicate Devices
The ACUSON P500 Ultrasound System is a multi-purpose diagnostic ultrasound system with accessories and proprietary software, and is substantially equivalent to the following company's own products.
| Predicate device: | ACUSON P500 (K163396) |
|----------------------|--------------------------|
| Reference device(s): | ACUSON Juniper (K201130) |
| | ACUSON Redwood (K210743) |
#### 4. Device Description
The ACUSON P500 Ultrasound System is a multi-purpose mobile, software controlled, diagnostic ultrasound system with an on-screen display of thermal and mechanical indices related to potential bioeffect mechanisms. Its function is to transmit and receive ultrasound echo data and display it in B-Mode, M-Mode, Pulsed (PW) Doppler Mode, Continuous (CW) Doppler Mode, Color Doppler Mode, Color M Mode, Doppler Tissue Mode, Power(Amplitude) Doppler Mode, a combination of modes and Harmonic Imaging on a Display.
#### 5. Intended Use/Indications for Use
The ACUSON P500 ultrasound imaging system is intended to provide images of, or signals from, inside the body by an appropriately trained healthcare professional in a clinical setting for the following applications: Fetal, Abdominal (including liver), Pediatric, Small Parts, Transcranial, Transesophageal, OB/GYN(useful for visualization of ovaries, follicles, uterus and other pelvic structures), Lung, Pelvic, Neonatal Cephalic, Cardiac, Intra Cardiac, Vascular(including Peripheral Vessel), Musculoskeletal, Superficial Musculoskeletal and Urology applications.
The system also provides the ability to measure anatomical structures and calculation packages that provide information to the clinician that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes.
The Arterial Health Package (AHP) software provides the physician with the capability to measure Intima Media Thickness and the option to reference normative tables that have been validated in peer-reviewed studies. The information is intended to provide the physician with an easily understood tool for communicating with patients regarding state of their cardiovascular system.
Note: This feature should be utilized according to the "ASE Consensus Statement; Use of Carotid Ultrasound to Identify Subclinical Vascular Disease and Evaluate Cardiovascular Disease Risk: A Consensus Statement from the American Society of Echocardiography Carotid Intima-Media Thickness Task Force. Endorsed by the Society for Vascular imaging."
#### Operating Mode 2D-Mode
2D-Mode with Harmonics Imaging Color flow Doppler Color (Velocity) Power (Energy) Doppler Tissue Imaging Pulsed Wave Doppler Pulsed Wave Doppler Tissue Imaging High Pulsed Repetition Frequency Pulsed Wave Doppler Continuous Wave Doppler Steerable Continuous Wave Doppler for imaging transducers
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#### Ultrasound Division
Auxiliary Continuous Wave Doppler for pencil transducers M-Mode M-Mode with Harmonics Imaging Anatomical M-Mode Combined Modes 2D-Mode with Color 2D-Mode with Power 2D/Doppler 2D/Doppler with Color 2D/Doppler with power 2D/M-mode 2D/M-mode with Color 2D/Anatomical M-mode
#### 6. Summary of Technological Characteristics and Determination of Substantial Equivalence
The modified ACUSON P500 Ultrasound System is substantially equivalent to the company's own previously cleared predicate ACUSON P500 (K163396), the ACUSON Juniper (K201130) and the ACUSON Redwood (K210743) with regard to both intended use and technological characteristics. Both the modified ultrasound system under this review and the predicate ultrasound systems function in the same manner as all diagnostic ultrasound systems and transducers.
The submission device differs from the predicated devices as following:
- . The modified ACUSON P500 Ultrasound System includes the addition of the 11M3. 18H5, 5VT transducers which were already cleared on the ACUSON Juniper (K201130).
- The modified ACUSON P500 Ultrasound System includes the addition of the Transesophageal . and Lung applications which were already cleared on the ACUSON Juniper (K201130).
- . The modified ACUSON P500 Ultrasound System includes the addition of VVI(Velocity Vector Image) and AMM(Anatomical M-Mode) software features which were already cleared on the ACUSON Juniper (K201130).
- . The modified ACUSON P500 Ultrasound System includes the expansion of TCD(Transcranial Doppler), Lung, FAST(Focused assessment with Sonography in Trauma) clinical applications for P4-2, which were already cleared on the ACUSON Juniper (K201130).
- . The modified ACUSON P500 Ultrasound System includes the expansion of Lung, FAST(Focused assessment with Sonography in Trauma) clinical applications for CH5-2, which were already cleared on the ACUSON Juniper (K201130).
- . The modified ACUSON P500 Ultrasound System includes the expansion of Lung clinical application for VF10-5, which was already cleared on the ACUSON Juniper (K201130).
- . The modified ACUSON P500 Ultrasound System includes the expansion of Lung clinical application for L10-5v, which was already cleared on the ACUSON Juniper (K201130).
- . The modified ACUSON P500 Ultrasound System includes the update wording of the Clinical application from 'Neonatal' to 'Neonatal Cephalic' which was already cleared on the ACUSON P500 (K163396).
- The modified ACUSON P500 Ultrasound System includes the addition of eSieLink software . feature which was already cleared on the ACUSON Redwood (K210743).
- The modified ACUSON P500 Ultrasound System includes the addition of Hibernation(Quick boot) feature.
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All other hardware and software features of the ACUSON P500 Ultrasound device remain unchanged. The foundation of the ACUSON P500 (this submission) is the ACUSON P500(K163396) with features and transducers integrated with the ACUSON P500(K163396) hardware and the ACUSON P500 (this submission) reuse software developed for P500(K163396) mainly as well as 11M3, 18H5, 5VT transducer and VVI(Velocity Vector Image) feature from Juniper (K201130), eSieLink feature from Redwood (K210743).
The submission device is substantially equivalent to the predicate with regards to both intended use and technological characteristics.
| | Feature /<br>Characteristic | ACUSON P500<br>This Submission | ACUSON P500<br>K# 163396<br>Predicate device | ACUSON<br>Juniper<br>K# 201130<br>Reference device | ACUSON<br>Redwood<br>K# 210743<br>Reference device |
|-------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------|----------------------------------------------|----------------------------------------------------------------------------------------|----------------------------------------------------|----------------------------------------------------|
| | Indications for Use: | | | | |
| ■ | Fetal | √ | √ | | |
| ■ | Abdominal | √ | √ | | |
| ■ | Pediatric | √ | √ | | |
| ■ | Small Organ | √ | √ | | |
| ■ | Cardiac | √ | √ | | |
| ■ | Transrectal | √ | √ | | |
| ■ | Transvaginal | √ | √ | | |
| ■ | Vascular<br>(Peripheral vessel<br>Arterials, Peripheral<br>vessel Venous,<br>Cerebrovascular,<br>Transcranial<br>Doppler) | √ | √<br>(Peripheral vessel<br>Arterials, Peripheral<br>vessel Venous,<br>Cerebrovascular) | √<br>(Transcranial<br>Doppler) | |
| ■ | Musculo-skeletal<br>(conventional) | √ | √ | | |
| ■ | Musculo-skeletal<br>(superficial) | √ | √ | | |
| ■ | Neonatal cephalic | √ | √ | | |
| Feature /<br>Characteristic | ACUSON P500<br>This Submission | ACUSON P500<br>K# 163396<br>Predicate device | ACUSON<br>Juniper<br>K# 201130<br>Reference device | ACUSON<br>Redwood<br>K# 210743<br>Reference device | |
| Emergency Medicine<br>(Emergency Medicine, Focused Assessment with Sonography for Trauma) | √ | √<br>(Emergency Medicine) | √<br>(FAST clinical application in Abdominal) | | |
| Intracardiac | √ | √ | | | |
| Trans-esophageal | √ | | √ | | |
| Lung | √ | | √<br>(Lung clinical application in Abdominal) | | |
| Frequencies<br>Supported: | √<br>(1.0MHZ~18MHz) | √<br>(1.0MHZ~18MHz) | √<br>(2.0MHz~17MHz) | | |
| Modes: | | | | | |
| B | √ | √ | | | |
| M | √ | √ | | | |
| PWD (Pulsed Wave Doppler) | √ | √ | | | |
| CWD (Continuous Wave Doppler) | √ | √ | | | |
| PW DTI (Doppler Tissue Image) | √ | √ | | | |
| Color Doppler | √ | √ | | | |
| Power Doppler | √ | √ | | | |
| Combined (BMDC) | √ | √ | | | |
| Features: | | | | | |
| | Feature /<br>Characteristic | ACUSON P500<br>This Submission | ACUSON P500<br>K# 163396<br>Predicate device | ACUSON<br>Juniper<br>K# 201130<br>Reference device | ACUSON<br>Redwood<br>K# 210743<br>Reference device |
| ■ | THI (Tissue<br>Harmonic Imaging) | √ | √ | | |
| ■ | M-THI | √ | √ | | |
| ■ | Panoramic 2D<br>Imaging (SieScape) | √ | √ | | |
| ■ | Dual-Beam<br>Processing | √ | √ | | |
| ■ | Quad-Beam<br>Processing | √ | √ | | |
| ■ | Clip Capture | √ | √ | | |
| ■ | Spectral DTI | √ | √ | | |
| ■ | Stress Echo | √ | √ | | |
| ■ | 2D(color) DTI | √ | √ | | |
| ■ | DIMAQ (PIMS<br>Workplace) | √ | √ | | |
| ■ | Vascular<br>Enhancement<br>(Clarify VE) | √ | √ | | |
| ■ | eSielmage | √ | √ | | |
| ■ | Advance SieClear | √ | √ | | |
| ■ | Multiple Frequency<br>Imaging(MultiHertz) | √ | √ | | |
| ■ | Digital Architecture | √ | √ | | |
| ■ | DICOM SR Vascular | √ | √ | | |
| ■ | DICOM SR OB/GYN | √ | √ | | |
| ■ | DICOM SR Cardiac | √ | √ | | |
| Feature /<br>Characteristic | ACUSON P500<br>This Submission | ACUSON P500<br>K# 163396<br>Predicate device | ACUSON<br>Juniper<br>K# 201130<br>Reference device | ACUSON<br>Redwood<br>K# 210743<br>Reference device | |
| Dynamic TCE | √ | √ | | | |
| Syngo AHP | √ | √ | | | |
| eSieMeasure | √ | √ | | | |
| eSieScan | √ | √ | | | |
| Enhanced Needle<br>Visualization | √ | √ | | | |
| Probe Saver | √ | √ | | | |
| Intracardiac<br>Echocardiography<br>(ICE) Imaging | √ | √ | | | |
| CARTOSOUND<br>Communication | √ | √ | | | |
| Velocity Vector<br>Image (VVI) | √ | | √ | | |
| Anatomical M-mode<br>(AMM) | √ | | √ | | |
| eSieLink | √ | | | √ | |
| Hibernation(Quick<br>boot) | √ | | | | |
| Wireless | √ | √ | | | |
| Monitor: 15.4"WXGA(FPD) | √ | √ | | | |
| Output Display Standard<br>(Track 3) | √ | √ | | | |
| Patient Contact Materials | Tested to ISO<br>10993-1 | Tested to ISO<br>10993-1 | | | |
| UL 60601-1 Certified | √ | √ | | | |
| Feature /<br>Characteristic | ACUSON P500<br>This Submission | ACUSON P500<br>K# 163396<br>Predicate device | ACUSON<br>Juniper<br>K# 201130<br>Reference device | ACUSON<br>Redwood<br>K# 210743<br>Reference device | |
| Indications for Use | √ | √ | | | |
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### Siemens Medical Solutions USA, Inc.
Ultrasound System
510(k) Submission
{9}------------------------------------------------
## Siemens Medical Solutions USA, Inc.
## Ultrasound Division
## ACUSON P500 Ultrasound System
510(k) Submission
{10}------------------------------------------------
### Siemens Medical Solutions USA, Inc.
### Ultrasound Division
# ACUSON P500 Ultrasound System
510(k) Submission
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#### 7. A brief discussion of nonclinical tests submitted, referenced, or relied on in the 510(k) for a determination of substantial equivalence
The device has been evaluated for acoustic output, biocompatibility, cleaning and disinfection effectiveness as well as thermal, electromagnetic and mechanical safety and have been found to conform to applicable medical device safety standards. The systems comply with the following voluntary standards:
- IEC 62359: Edition 2.1 2017-09, Ultrasonics - Field characterization - Test methods for the determination of thermal and mechanical indices related to medical diagnostic ultrasonic fields / Combines IEC 62359 (2010-10) and AMD 1 (2017-09)
- Safety and EMC Requirements for Medical Equipment
- AAMI ES60601-1:2005/(R)2012 and A1:2012, C1:2009/(R)2012 and A2:2010/(R)2012 o (Consolidated Text) Medical electrical equipment - Part 1: General requirements for basic safety and essential performance (IEC 60601-1:2005)
- o IEC 60601-1:2005, Medical electrical equipment - Part 1: General requirements for basic safety and essential performance / This document and its separate amendments continue to be valid together with the consolidated version
- IEC 60601-1-2 Edition 4.0 2014-02, Medical electrical equipment Part 1-2: General O requirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances - Requirements and tests
- o IEC 60601-2-18: Edition 3.0 2009-08, Medical electrical equipment - Part 2-18: Particular requirements for the basic safety and essential performance of endoscopic equipment
- IEC 60601-2-37 Edition 2.1 2015, Medical electrical equipment Part 2-37: Particular o requirements for the basic safety and essential performance of ultrasonic medical diagnostic and monitoring equipment
- ISO 10993-1 Fifth edition 2018-08-01, Biological evaluation of medical devices Part 1: ■ Evaluation and testing within a risk management process / Corrected and reprinted in 2018-10
#### 8. A summary discussion of the clinical tests submitted, referenced, or relied on for a determination of substantial equivalence.
Since the ACUSON P500 Ultrasound System uses the same technology and principles as existing devices, clinical studies were not required to support substantial equivalence.
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#### 9. Summary
The ACUSON P500 Ultrasound System is verified and validated according to the company's design control process.
Intended uses and other key features are consistent with traditional clinical practice and FDA guidelines. The design and development process of the manufacturer conforms to 21 CFR 820 Quality System Regulation and ISO 13485:2016 quality system standards. The product is designed to conform to applicable medical device safety standards and compliance is verified through independent evaluation with ongoing factory surveillance. Diagnostic ultrasound system has accumulated a long history of safe and effective performance. Therefore, it is the opinion of Siemens Medical Solutions USA, Inc. that the ACUSON P500 system is substantially equivalent with respect to safety and effectiveness to devices currently cleared for market.
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.